23 cases of variant angina clinical analysis and treatment of.docVIP

 PAGE \* MERGEFORMAT 9 23 cases of variant angina clinical analysis and treatment of Paper Keywords: Variant angina; ST-segment elevation; calcium channel blocker Abstract: Objective: To observe the clinical features of variant angina pectoris and explore its treatment. Methods: 23 patients with variant angina, aged 37 to 49 years of age; 18 cases were male and 5 females, were characterized by Holter examination found that onset of ST-segment elevation, some with severe cardiac arrhythmia, use of calcium antagonist agent-based, supplemented by single-nitro-nitrate ester treatment. Results: 23 patients the symptoms disappeared after treatment, review Holter ischemia without ST-segment elevation performance. Conclusion: The variant angina occur in the younger men, seizures, when ST-segment elevation may be associated with severe arrhythmia; positive effect of calcium antagonists. Variant angina in young men, often clinical coronary artery spasm induced by one of the reasons that this is summed up in 23 cases of patients with variant angina cure the situation, its clinical features and treatment for an analysis. 1 Data and methods 1.1 Clinical data Select 2007-2008 in our hospital CCU ward inpatients, excluding heart disease, myocardial infarction, angina pectoris, rheumatic heart disease, hyperthyroidism heart disease, the election attack ST-segment elevation in 23 cases; were male and 18 cases of and 5 females. Age 37 to 49 years old, with an average (43 ± 9.1) years of age. All men are smoking, and 2 female smokers. After admission by the Holter examination showed ST-segment elevation during angina attack, raising the range of 0.15 ~ 0.60mV, accompanied by Ⅰ ° AVB in 2 cases; Ⅱ ° Ⅰ type AVB in 2 cases; Ⅱ ° Ⅱ type AVB by a cases; Ⅲ ° AVB in 1 case; Burst ventricular tachycardia in 3 cases; frequent ventricular premature 7 cases; Sinus Arrest 1 case; atrial premature beats in 1 case. Typical cases: Example 1, male, 36 years old. Parox